Alveolar bone destruction can be magnified in the presence of generalized skeletal disorders. We questioned whether severe generalized periodontitis patients display signs of bone metabolism disturbances. Our objective was to assess skeletal bone mineral density (BMD) and biochemical bone parameters in pre-menopausal women with periodontitis. Forty-five patients and 40 control individuals were included in the study. We measured BMD by dual-energy x-ray absorptiometry. The results showed no difference in BMD values between the periodontitis and control groups ( p > 0.05). A positive relationship between the clinical attachment level and Body Mass Index (BMI) scores was observed (p=0.03). Increased serum creatinine levels were noted in the periodontitis group (p=0.04). Analysis of the data suggests that there is no evidence for an association between skeletal BMD and severe periodontitis in pre-menopausal women. There may be a link between elevated creatinine levels and periodontitis. The persons with high BMI scores seemed to be at risk for periodontitis.